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Successful initial experience with a novel outpatient total hip arthroplasty program in a public health system in Chile

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Abstract

Purpose

The aim of the present study was to assess the first experience with outpatient total hip arthroplasty (THA) in a public health environment in Chile.

Methods

Prospective series of the first 69 patients/72 hips. Surgery was performed in a public university-affiliated hospital. The patients were 64 (31–84) years old and healthy (ASA I–II) candidates for a primary hip arthroplasty.

Results

The outpatient track had 52.2% of arthroplasty candidates included and 94.4% (68/72 hips) were successfully discharged the same day. There were no emergency room visits during the first week after surgery. Two patients had single dislocation episodes, one requiring stem revision. There was one deep vein thrombosis. There were no other complications. All the patients reported to be satisfied with the outpatient track.

Interpretation

An outpatient track can be developed in a safe manner in this healthcare setting and population. This track of care was well accepted by the patients.

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Authors and Affiliations

  1. Orthopedic Surgery, Hospital Clinico Metropolitano de La Florida, Santiago, Chile

    Orlando Paredes & Ianiv Klaber

  2. MEDS Clinical Sport Center, Santiago, Chile

    Orlando Paredes

  3. Service of Physical Therapy, Hospital Clínico La Florida, Santiago, Chile

    Rodrigo Ñuñez

  4. Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile

    Rodrigo Ñuñez

  5. Department of Orthopedic Surgery, Pontificia Universidad Catolica de Chile, Diagonal Paraguay 362, Tercer Piso, 8330077, Santiago, Chile

    Ianiv Klaber

Authors
  1. Orlando Paredes
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  2. Rodrigo Ñuñez
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  3. Ianiv Klaber
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Corresponding author

Correspondence to Ianiv Klaber.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This study was approved by the Institutional Review Board.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Paredes, O., Ñuñez, R. & Klaber, I. Successful initial experience with a novel outpatient total hip arthroplasty program in a public health system in Chile. International Orthopaedics (SICOT) 42, 1783–1787 (2018). https://doi.org/10.1007/s00264-018-3870-6

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  • DOI: https://doi.org/10.1007/s00264-018-3870-6

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